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General NPI Number Information
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NPI Number | 1437715935
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Entity Type | Organization
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Legal Business Name | IGOR HOMECARE INC
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 300 CADMAN PLZ W FL 12
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City | BROOKLYN
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State | NY
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Zip | 11201-3226
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Country | US
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Telephone | 914-365-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 621 NORTH AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-2649
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Country | US
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Telephone | 914-365-8283
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Fax |
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Authorized Official
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Title or Position | HCS COORDINATORS
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Name | ANASTALETTE DARIUS
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Credential |
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Telephone | 914-365-0901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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